49 year old female patient who had 3 Nobel Biocare implants installed in #20 -19 sites [mandibular left second premolar and first molar; 35-36] in 2008. The implants were restored with 3 single unsplinted crowns. The periapical radiograph was taken in 2012. The panoramic radiograph (opg) was taken in 2014. Note the massive bone loss around the implants. I removed the mobile middle implant. Patient is a heavy bruxer but is too lazy to wear the protective nightguard. feedback? What do you recommend I do at this point for this failing case?
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